TIFFANY A SHINNICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

SHINNICK

Business Name

TIFFANY A SHINNICK

Original Issue Date

02/25/2019

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

MENDOTA

State

Zip

61342

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026